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01-08-2011 | How-I-Do-It Article

Diagnostic evaluation, surgical technique, and perioperative management after esophagectomy: consensus statement of the German Advanced Surgical Treatment Study Group

Authors: Daniel Palmes, Matthias Brüwer, Franz G. Bader, Michael Betzler, Heinz Becker, Hans-Peter Bruch, Markus Büchler, Heinz Buhr, Β. Michael Ghadimi, Ulrich T. Hopt, Ralf Konopke, Katja Ott, Stefan Post, Jörg-Peter Ritz, Ulrich Ronellenfitsch, Hans-Detlev Saeger, Norbert Senninger, German Advanced Surgical Treatment Study Group

Published in: Langenbeck's Archives of Surgery | Issue 6/2011

Abstract

Purpose

Correct diagnosis, surgical treatment, and perioperative management of patients with esophageal carcinoma remain crucial for prognosis within multimodal treatment procedures. This study aims to achieve a consensus regarding current management strategies in esophageal cancer by questioning a panel of experts from the German Advanced Surgical Treatment Study (GAST) group, comprised of 9 centers specialized in esophageal surgery, with a combined total of >220 esophagectomies per year.

Materials and methods

The Delphi method, a systematic and interactive, evidence-based approach, was used to obtain consensus statements from the GAST group regarding ambiguities and disparities in diagnosis, patient selection, surgical technique, and perioperative management of patients with esophageal carcinoma. After four rounds of surveys, agreement was measured by Likert scales and defined as full (100% agreement), near (≥66.6% agreement), or no consensus (<66.6% agreement).

Results

Full or near consensus was obtained for essential aspects of esophageal cancer staging, proper surgical technique, perioperative management and indication for primary surgery, and neoadjuvant treatment or palliative treatment. No consensus was achieved regarding acceptability of minimally invasive technique and postoperative nutrition after esophagectomy.

Conclusion

The GAST consensus statement represents a position paper for treatment of patients with esophageal carcinoma which both contributes to the development of clinical treatment guidelines and outlines topics in need of further clinical studies.

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Title: Diagnostic evaluation, surgical technique, and perioperative management after esophagectomy: consensus statement of the German Advanced Surgical Treatment Study Group
Authors: Daniel Palmes
Matthias Brüwer
Franz G. Bader
Michael Betzler
Heinz Becker
Hans-Peter Bruch
Markus Büchler
Heinz Buhr
Β. Michael Ghadimi
Ulrich T. Hopt
Ralf Konopke
Katja Ott
Stefan Post
Jörg-Peter Ritz
Ulrich Ronellenfitsch
Hans-Detlev Saeger
Norbert Senninger
German Advanced Surgical Treatment Study Group
Publication date: 01-08-2011
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 6/2011
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-011-0818-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Diagnostic evaluation, surgical technique, and perioperative management after esophagectomy: consensus statement of the German Advanced Surgical Treatment Study Group

Abstract

Purpose

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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